Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
H: (555) 432-1000
C:
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Date of Birth:
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:
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Summary
Highly Efficient Medical Biller with experience in Anesthesia, Toxicology, Genetic Screening, Respiratory (RRP), Basic Wellness, Complete Wellness, and Cardiometabolic Laboratory testing. Excellent multi-tasker and demonstrated team player with a positive attitude. Experienced Billing Manager overseeing 50+ team members and daily Billing Operations. Experienced with Healthfusion and Kareo Billing Systems. Experience with reviewing Rejections and Denials. Experience with reviewing EOB's. Strong attention to detail and extensive knowledge of Medical Terminology.
Billing Operations Manager, 04/2015 - 08/2017 Alto Pharmacy – Las Vegas, NV, Accurately entered procedure codes, diagnosis codes and patient information into billing software. Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative. Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. Thoroughly reviewed remittance codes from EOBS/AR's. Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house. Performed quality control of the data entry system to verify that claims and payments were posted correctly. Billed all lab claims with attached lab slips. Performed full-cycle medical billing in a fast-paced medical billing company. Oversaw 50+ team members as Billing Manager with the day to day Billing Operations including Charge Entry, Rejections, Resubmissions, AR Followup, and Payment Posting.
Cashier/Office Assistant, 10/2013 - 04/2015 Basil Family Dealerships – Fredonia, NY, Answered customers’ questions and addressed problems and complaints in person and via phone. Opened and closed the store, which included counting cash drawers and making bank deposits. Offered exceptional customer service to differentiate and promote the company brand. Built customer confidence by actively listening to their concerns and giving appropriate feedback. Built and maintained effective relationships with peers and upper management. Recruited, hired, developed and retained retail talent for the company. Performed Payroll every 2 weeks, and maintained accurate employee records.
Education and Training
Certificate: Licensed Vocational Nursing, Expected in 1984 - Austin Community College - Austin, Texs GPA: Coursework in Licensed Vocational Nursing Program.
Associate of Applied Science: Registered Nursing, Expected in 1987 - Del Mar College - Corpus Christi, Texas GPA: Coursework in Associate Degree Nursing Program
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